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LTB Demo - Healthcare Evaluation
1. http://Learning-Layers-eu – Scaling up Technologies for Informal Learning in SME Clusters – layers@learning-layers.euhttp://Learning-Layers-eu – Scaling up Technologies for Informal Learning in SME Clusters – layers@learning-layers.eu
Learning Layers
Scaling up Technologies for Informal Learning in SME Clusters
Informal learning in healthcare
– an exploratory evaluation approach
Christina Sargianni, Stefan Thalmann, Tamsin Treasure-Jones, Micky Kerr,
Ronald Maier & Markus Manhart
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2. http://Learning-Layers-eu – Scaling up Technologies for Informal Learning in SME Clusters – layers@learning-layers.eu
Pilot Groups
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Pilot A Pilot D
Practice Managers from a network (Federation) of 18 General
Practices.
The tool setting used by this pilot group is the Confer-LD.
The Federation is mainly working on joint projects and focuses on
developing shared services.
Practice Managers from a network (Federation) of 15 General Practices.
The tool setting used by this pilot group is the B&P-LD.
The Federation is mainly working on joint projects and focuses on
developing shared services.
Table 1: Healthcare Context 1 – Federation/Network
Pilot B Pilot C
Pilot B consists of 6 members from a national team.
The tool setting used by this pilot group is the Confer-LD.
The team has a specific focus on exploring how technology-
enhanced learning can improve education/training in the NHS.
Their work involves engagement across all the NHS organisations
nationally.
Pilot C consists of 5 members from a regional team.
The tool setting used by this pilot group is the Confer-LD.
The team has a specific focus on quality improvement training in the NHS.
Their work involves engagement across the 44 NHS organisations in their
region.
Table 1: Healthcare Context 2 – Distributed teams
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2016 2016February March April May June July
Kick-off Pilot A
2/16/2016
Kick-off Pilot
B
3/15/2016
Kick-off Pilot C
3/16/2016
Intermediate Workshop Pilot A
5/17/2016
Intermediate Workshop Pilot C
5/24/2016
Intermediate Workshop Pilot B
6/6/2016
Final Workshop Pilot A
7/19/2016
Final Workshop Pilot C
7/19/2016
Final Workshop
Pilot B
7/22/2016
2/16/2016 - 7/19/2016
Evaluation Pilot A
(Confer-LD)
3/15/2016 - 7/22/2016
Evaluation Pilot B
(Confer-LD)
3/16/2016 - 7/19/2016
Evaluation Pilot C
(Confer-LD)
Evaluation Timeline Healthcare
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2016Feb Mar Apr May Jun Jul
Federation Meeting
Kick-off Pilot A
2/16/2016
Accompanying Conversation 1
2/25/2016
Accompanying Conversation 2
3/3/2016
Federation Meeting Pilot A
3/9/2016
Accompanying Conversation 3
3/24/2016
Accompanying Conversation 4
4/14/2016
Federation Meeting Pilot A
4/19/2016
Federation Meeting
Intermediate Workshop Pilot A
5/17/2016
Federation Meeting
Final Workshop
Pilot A
7/19/2016
Individual Interview 1
7/19/2016
Individual
Interview 2
7/22/2016
Timeline Pilot A (Confer-LD)
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2016Mar Apr May Jun Jul Aug
Team Meeting
Kick-off Pilot
B
3/15/2016
Accompanying Conversation 1
3/24/2016
Accompanying Conversation 2
4/5/2016
Team Meeting Intermediate
Workshop Pilot B
6/6/2016
Team Meeting Final Workshop
Pilot B
7/22/2016
Individual Interview 1
7/22/2016
Individual Interview 2
7/22/2016
Individual
Interview 3
8/31/2016
Timeline Pilot B (Confer-LD)
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2016Mar Apr May Jun Jul
Kick-off Pilot C
Team Catch Up
3/16/2016
Accompanying Conversation 1
3/23/2016
Accompanying Conversation 2
4/14/2016
Intermediate Workshop Pilot C
Team Catch Up
5/24/2016
Final Workshop Pilot C
Team Catch Up
7/19/2016
Individual Interview 1
7/19/2016
Individual Interview 2
7/19/2016
Timeline Pilot C (Confer-LD)
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Activities
• Kick off workshops
– to explore users’ tool expectations
– focus on research areas like knowledge
boundaries, knowledge scaling and
connectivity
• Accompanying conversations
– for tool feedback and updates
• Weekly nudging emails
– for tool support and usage alert
• Interim workshops
– to allow users to move their projects’ forward
and reflect on tool usage
• Final workshops
– for tool feedback and reflections on the tools
• Q-study focus on IT adoption
• Individual interviews
– specific focus on learning and working
practices
• Log files (see detailed slides 38-40)
– for tracking the users’ activity
• 1 day workshop
– specific focus on B&Ps
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Data Collection Methods
• Focus groups with duration up to 2 hours
– Pilot A: 6 participants
– Pilot B: 2 participants
– Pilot C: 5 participants
• 8 individual semi-structured appreciative interviews (18-30 min.)
• Q-study with 15 participants (to date)
• Capture logs (see detailed slides 38-40)
• 1-day workshop
– 6 participants (3 groups of 2 participants)
– Hands on activities with B&Ps
– 45 min. recorded focus group
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Data Analysis
• The evaluation team analyses the data from different lenses:
– Pilots’ Context (Tamsin)
– Anticipated, Actual & Potential Uses of the Tools (Micky)
– Design Patterns of Confer (Patricia)
– Barriers & Challenges (Christina)
– Learning & Working Practices (Collective)
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Joint Interpretation Analysis Scheme
Layers Tools
Evaluation Timeline
Practice Before
Practice After (Expected or
Unexpected)
Practice After (Anticipated)
Change
Barriers
Design
Patterns
Anticipated Uses
Pilots‘
Context
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Data Analysis_ Challenges (Preliminary Results)
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Data Analysis_ Challenges
Tool Challenges
• Safety
• Access Issues
• Technical Issues
• Tool complexity
• Tool
functionalities
User Challenges
• Time Barriers
• IT affinity
• Fear of
responsibility
• Tool is not a habit
• Traditional ways
of working
Network Challenges
• Work Complexity
• Group Influence
• Project
identification
• Need for a leader
• Work Duplication
• Face-to-Face vs.
ICT
• Priorities
Sector Challenges
• Additional tool to
log in
• Lack of
engagement
• Culture
• Lack of network
stability
• Dependence on a
wider group
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Data Analysis_ Tool Challenges
• Safety: „and there are all web-based, so used from your browser, it‘s in the cloud […] That
means it‘s not safe.“
• Access issues: „Logging into Confer is not as easy as I would expect. The „sign in with
Learning Layers“ button isn‘t always there and I have to refresh the page to force it to load.“
• Technical Issues: „I think I initially had problems logging in, that took me about a couple of
weeks […]“
• Tool Complexity: „Following all the stages can seem laborious but only in the same way that
following any quality improvement process (such as fishbone analysis) is. So the idea of
systematically going through something is a bit alien to a lot of people (not intuitive)”
• Tool functionalities: „When switching from brainstorm to identifying issues, it took three
clicks to duplicate an item. Maybe I am impatient?“
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Data Analysis_ User Challenges
• Time Barriers: „time is the one thing that we struggle with probably more than anything […] our
struggle is with time.“
• IT affinity: „I‘m not brilliant with technology and I like something that‘s going to be intuitive and
easy so you just want to have a go really don‘t you?“
• Fear of responsibility: „So it‘s still attributed to me so I don‘t know what it achieves, because I‘m
still putting something in.“
• Tool is not a habit: „With any new tool, it needs to become a habitual to get increased use; it
hasn‘t become a habit yet unfortunately, like checking Twitter or LinkedIn is a habit.“
• Traditional ways of working (pen & paper): „Yeah, but that having been said my learning style is
such that I write things down and by writing then down they‘re lodged in memory so I didn‘t
actually refer to the notes because I then process things.“
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Data Analysis_ Network Challenges
• Work complexity: „I think my feeling would be that we‘re, you know, adding another layer of complexity to what
we already do, you know, that‘s my fear.“
• Group Influence: „So if I sent a document out on Word and said, right can you all comment on it and send it back
to me individually, I would get your honest opinion […]“
• Project Identification: „In the kick-off workshop they choose to set up a Confer workgroup to look at one
particular topic „****“. However, that is just a simple decision, so Confer may not be the best tool for this.“
• Need for a leader: „What they need to do is to do it with, well I think the drive needs to come from Monica, I
think what we need to do is have a word with Monica and say, let‘s look at this in the next couple of weeks, let‘s
try and push this project forward using this.“
• Work Duplication: „it‘s lack of clarity about the tools we‘re using, so it‘s like we are using this tool for this or are
we doing that, so there‘s a lot of duplication or things falling through the cracks.“
• Face-to-Face vs. ICT: “I think the tools that we use help us connect better, but there’s no replacement for when
we manage to have our face-to-face meetings.”
• Priorities: „Unfortunately, setting up and using another project management tool is just not something they can
prioritise at the moment.“
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Data Analysis_ Sector Challenges
• Additional tool to log in: „A barrier will be the logging in of to yet another system (NHS, email,
clinical system, intranet and now this).“
• Lack of engagement: „[…] but there‘s still a heck of people that aren‘t usually engaged with us
[…]“
• Culture: „I think technology‘s not really helping us a lot because we‘re all busy people and we
could be making life simpler for ourselves.“
• Lack of network stability: „[…] so you have three or four people who push it on, and then
everybody who turns up at the meeting next time goes, hello, that‘s not what we think, you
know.“
• Dependence on a wider group: „[…] we have a core team who work together, but then we‘re
heavily reliant on our network […]“
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Confer Log Files – Total (1/3)
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Confer Log Files – Total (2/3)
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Number in brackets indicating number of groups user contributed to
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Confer Log Files – Total (3/3)